Title
CONSIDERATION OF A GRANT AWARD IN THE AMOUNT OF $2,152,005.00 FROM THE KANSAS DEPARTMENT OF HEALTH & ENVIRONMENT (KDHE) TO PROVIDE THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS AND CHILDREN (WIC) WITHIN THE DIVISION OF HEALTH.
Presented by: Adrienne Byrne-Lutz, Health Director, Sedgwick County Division of Health.
RECOMMENDED ACTION: Accept the award and authorize the Chair to sign the award agreement.
PUBLIC COMMENT
Body
Grant Renewal: Yes
Never Applied: No
Applied; not awarded: No
Grant Summary and Timeline:
The Division of Health has managed the WIC Program in Sedgwick County (SC WIC) for the past 42 years. WIC is a federal program administered by the Food and Nutrition Service of the United States Department of Agriculture that provides healthcare and nutrition focused services to:
A) Women who are pregnant, post-partum, or currently breastfeeding; and
B) Infants/children under the age of five.
WIC services include: nutrition education, immunization screenings, lactation support, referrals to community, supplemental nutritious foods.
To qualify for SC WIC services, an applicant must meet the following criteria:
1) Household income must be at or below 185% of the U.S. Poverty Income Guidelines (currently $44,955/year for a family of four); and
2) Found to have at least one medical or nutritional risk factor; risk factors include, but are not limited to: overweight, dental problems,
anemia, low birth weight, and/or prematurity; and
3) Live or work within Sedgwick County.
The Federal Fiscal Year (FFY) 2017 grant award in the amount of $2,152,005.00 for the Division of Health represents an increase of $213,005 (or 9.9%) compared to the previous FFY 2016 grant award of $1,939,000. This funding allocation includes additional funding to offset the increased cost of employee health benefits and annual merit/compensation increases and funding for 2 full-time positions left vacant during the FFY 2016 year.
SC WIC has been assigned a caseload number of 11,568 for the new grant period; by contract, SC WIC is expected to stay within the preferred range of 98% - 103% (11,337 - 11,915)* of this assigned caseload number and report when the participant caseload deviates from this range.
*See Tables 1 and 2 for funding and caseload historical data.
Financial Considerations:
Grant period starts: October 1, 2016
Grant period ends: September 30, 2017
Source of funding:
Grant: $2,152,005.00
Required Match: $0.00
Required Cash Match: $0.00
Required In-Kind Match: $0.00
Other funding: $0.00
TOTAL SOURCES: $2,152,005.00
Uses of funding
Operational costs: $2,152,005.00
Personnel: $1,926,764.00
Contractual services: $51,249.00
Operational supplies: $26,690.00
Equipment: $0.00
Indirect administrative costs: $147,302.00
Capital projects cost: $0.00
TOTAL USES: $2,152,005.00
Source of matching funds: N/A.
Source of other funding: N/A.
Budget Authority Adjustment:
Sufficient budget authority exists within the 2016 and 2017 Budgets; no additional budget authority is being requested. The FFY 2017 award of $2,152,005.00 is for the period beginning October 1, 2016 through September 30, 2017. Funds will be managed through Fund Center 38066-274. This funding supports a total of 37 FTE's.
Personnel considerations:
No new additional positions are being requested with this grant. Currently a total equivalent of 42 full-time positions are assigned to the WIC Program staffing table with 35 being funded. A portion of this funding will be used to support 2 full-time positions not funded in the 2015-2016 grant year.
Expected measurable outcomes:
In FFY 2017, the SC WIC program will:
1) Increase the percentage of women enrolled in WIC that initiate breastfeeding*, from 79% to 80%.
2) Provide client centered education to caregivers of children ages 2 to 5 found with obesity so that >80% of the children found with a BMI above the 95th percentile on the CDC age/gender growth chart will maintain or reduce their BMI.
3) Increase the number of Sedgwick County WIC participants who breastfeed for a duration of at least 3 months*, from 45% to 47%.
*See Table 3 for Breastfeeding historical data.
Requirements from Sedgwick County:
1) Complete a Nutrition Services Plan and submit the plan to the State Agency by November 1st each year for approval. This plan is to be completed using the Nutrition Services Plan Guidance materials, provided by the State Agency, for the upcoming calendar year.
2) Submit to the State Agency a monthly affidavit of expenditures by the 20th of each month following the reporting month.
3) File with the State Agency an approved indirect-cost plan and cost allocation plan.
4) Sedgwick County is responsible for monitoring local retail vendors participating in the WIC Program.
5) The Local Agency must maintain participation levels of at least 98% of the contractually assigned participation. If the Local Agency fails to maintain at least 98% of its assigned target participation level for a three-month period, the State Agency may adjust the amount of administrative funds allocated to the Local agency.
Alternatives:
The BoCC may elect to not accept the funding, which would require KDHE to find an alternate hosting agency to provide services for residents of Sedgwick County.
Policy considerations:
Legal considerations:
The County may enter into this agreement pursuant to K.S.A. 19-101 et seq. Pursuant to the County's grant policies and procedures, this grant agreement requires approval of the Board of County Commissioners. A simple majority vote is required for approval.